New data guide update on panic disorder

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FEATURE: BY CARL SHERMAN
New data guide update
on panic disorder
This disabling condition interferes with daily functioning and can cause
signiﬁcant distress. Pharmacotherapy is not the only treatment option.
P
anic disorder frequently comes up in
the primary-care setting. Such physi-
cal symptoms as chest pain and dyspnea
are usually prominent and may be more dis-
tressing than anxiety per se. Four percent of
primary-care patients are believed to suffer
from this disorder (three times the prevalence
in the general population), and nearly half of
all panic patients are treated by primary-care
practitioners (PCPs).
The American Psychiatric Association’s (APA)
revised Practice Guideline for the Treatment of Patients
With Panic Disorder is not dramatically different
from its 1997 predecessor, but it does include more
data to support recommended treatments, says
Peter Roy-Byrne, MD, professor and vice chair
in the department of psychiatry and behavioral
sciences, University of Washington School of
Medicine, Seattle, and a member of the work
group that produced the document.
Substantive changes include an addition to the